Organization
ISABELLA HAMMONDS ESTATE
Active
Other names
Isabella's Bra-tique
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JONI ELAINE HAENGGI (OPERATOR)
(937) 278-9966
Entity
Organization
Contact information
Practice address
3510 N MAIN ST, DAYTON, OH 45405-2401
(937) 278-9966
(937) 277-0286
Mailing address
3510 N MAIN ST, DAYTON, OH 45405-2401
(937) 278-9966
(937) 277-0286
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
N/A IN OHIO
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028420
ANTHEM PROVIDER NUMBER
OH
01
—
0005341067
AETNA PROVIDER NUMBER
OH
05
—
0539975
—
OH
01
—
82-20259
UNITED HEALTH CARE
OH
01
—
83027
NORTHWOOD NPN
OH
Enumeration date
03/21/2006
Last updated
07/31/2008
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